NYMC - Registration

Registration for "HSA/HSA+"

When:

Fall 2022, 10am to 12pm
9/25,10/2,10/9,10/16,10/23,10/30,11/6,11/13,11/20,12/4

Where:

Columbia University, 2990 Broadway, New York, NY 10027 (map).

Instructor:

Barry Weng.

Registration fee:

$345. (Fee may be reduced based on financial need; see FAQ).

This registration is for the waiting list only. We will email you if a spot opens up.

Parental consent is required.

Required fields are bold.

Student's name:	First	Last
E-mail address:	Phone:
Zip Code:
School:
Grade:	(as of Fall 2022) Gender: M F
How did you hear about us?
The student’s parent or legal guardian must read and fill out the portion below: I am giving permission for the student named above to attend classes at New York Math Circle. I acknowledge that I am aware of the nature of the program, and I assume all risks associated with participation. I also agree to take full responsibility for the student’s transportation to and from the site. I understand that students may have their participation terminated if they fail to observe reasonable rules of good conduct, or if they disrupt the learning of others. I also acknowledge that participation in NYMC is completely voluntary and will not result in academic credit. I confirm that I am the student's parent or legal guardian, and that I agree with the above.
Parent's name:	First	Last
E-mail address:	Phone:
In case of emergency, contact me at:
Any comments, or any special situations we need to know about?